Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,495.41 / $16,982.44	Facility		$1,202.26	$5,495.41	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $5,754.40	Facility		$66.07	$104.71	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $18.20 / $18.20 / $18.20	Facility	AS	$18.20	$18.20	$18.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.33 / $134.90	Professional		$100.00	$102.33	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $173.78	Professional		$83.18	$104.71	$173.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	AS	$66.07	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $223.87	Facility		$97.72	$147.91	$223.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $18.20 / $18.20 / $18.20	Facility	AS	$18.20	$18.20	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54